04D2144467 CLIA NUMBER - EXPRESS RX OF SHERWOOD

Laboratory Demographics

  • CLIA Code: 04D2144467
  • Facility Name: EXPRESS RX OF SHERWOOD
  • Facility Address: 8730 BROCKINGTON RD
    SHERWOOD, AR
    ZIP 72120
  • Facility Phone: 501 819-6300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC CRUMBAUGH
  • NPI Number: 1063812139
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2144467
LAB Type Pharmacy
Facility Name EXPRESS RX OF SHERWOOD
Street 8730 BROCKINGTON RD
City SHERWOOD
State AR
ZIP 72120
Phone 501 819-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director ERIC CRUMBAUGH

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This page was last updated on: 9/29/2025